Individual
JAMES ALBERT FORTUNE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7264 N SHELDON RD, CANTON, MI 48187-2150
(734) 787-5872
Mailing address
7264 N SHELDON RD, CANTON, MI 48187-2150
(734) 787-5872
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MI
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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